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早产儿和足月儿脑电图的时空组织

Spatio-temporal organization of EEG in premature infants and full-term new-borns.

作者信息

Joseph J P, Lesevre N, Dreyfus-Brisac C

出版信息

Electroencephalogr Clin Neurophysiol. 1976 Feb;40(2):153-68. doi: 10.1016/0013-4694(76)90160-7.

Abstract

Inter- and intrahemispheric EEG relationships were studied as a function of maturation in new-born infants. The spatio-temporal organization of EEG activity obtained during the two stages of sleep described in new-born infants - quiet sleep and active sleep - was analysed in 9 full-term new-born infants and 5 prematures (6 records). EEGs were recorded through transverse parietal montage made up of six bipolar derivations. Two epochs of 1.5 min each - successively obtained in both stages of sleep - were digitized, filtered in three frequency bands (beta, theta and delta) and computer-processed according to two methods, factor analysis and rhythms averaging. 1. The following EEG characteristics were found in both groups: (a) Instability of frequency within each frequency band (beta, theta and delta). However, theta activity was the most stable of the three, especially in quiet sleep. (b) Variability of topographical organization (i.e., localization of maxima of potentials) from one moment to another in both stages of sleep and in the three frequency bands. In spite of this intra-individual variability some sort of "average structure" was found in all infants; it was characterized by usually lateral and often symmetrical positions of the maxima of potential on the two hemispheres. For the same infant this structure was the same in the three frequency bands. (c) Poor interhemispheric relationships under all conditions, as well as poor interregional links in one hemisphere. 2. Some EEG characteristics differentiated the two groups and thus seemed to be related to maturation. Compared to full-term newborns the premature group showed: better stability for all three activities, especially for beta activity; higher frequency and larger amplitude of beta activity; better inter- and intrahemispheric relationships; fewer differences related to sleep stages. These results are discussed in terms of organization of the underlying cortical generators. The authors suggest that the active areas would increase in number and in surface with maturation, whereas the links between these different separate areas would remain very poor in the human full-term new-borns as well on one hemisphere as across hemispheres. This last finding would argue against the hypothesis that the corpus callosum which, as is well known, matures early, plays an important role in the establishment of interhemispheric links.

摘要

作为新生儿成熟度的一个函数,研究了半球间和半球内脑电图(EEG)的关系。对9名足月儿和5名早产儿(6份记录)在新生儿睡眠的两个阶段——安静睡眠和活动睡眠中获得的EEG活动的时空组织进行了分析。通过由六个双极导联组成的横顶叶导联记录EEG。在睡眠的两个阶段依次获取两个各1.5分钟的时段,将其数字化,在三个频段(β、θ和δ)进行滤波,并根据因子分析和节律平均两种方法进行计算机处理。1. 两组均发现以下EEG特征:(a)每个频段(β、θ和δ)内频率不稳定。然而,θ活动是三者中最稳定的,尤其是在安静睡眠中。(b)在睡眠的两个阶段和三个频段中,不同时刻的地形组织(即电位最大值的定位)存在变异性。尽管存在个体内变异性,但在所有婴儿中都发现了某种“平均结构”;其特征通常是两个半球上电位最大值的位置偏向一侧且往往对称。对于同一婴儿,这种结构在三个频段中是相同的。(c)在所有条件下半球间关系较差,以及一个半球内的区域间联系也较差。2. 一些EEG特征区分了两组,因此似乎与成熟度有关。与足月儿相比,早产儿组表现出:三种活动的稳定性更好,尤其是β活动;β活动的频率更高、幅度更大;半球间和半球内关系更好;与睡眠阶段相关的差异更少。根据潜在皮质发生器的组织对这些结果进行了讨论。作者认为,随着成熟,活跃区域的数量和面积会增加,而在人类足月儿中,这些不同的独立区域之间的联系在一个半球内以及跨半球仍然非常差。这一最新发现将与如下假设相悖,即众所周知,成熟较早的胼胝体在半球间联系的建立中起重要作用。

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